Strategies for controlling hazards at work

This paper presents an heuristic framework for analyzing hazards (potential for loss or harm) and strategies that may be developed to control their realization. Two basic forms of intervention for hazard control (anticipation and reaction) are identified. Three broad anticipative strategies are discussed: (1) elimination of the source of the hazard, (2) containment of the risk of its realization, and (3) mitigation of likely consequences. The communication and judgmental processes involved in decisions about strategies are shown to be embedded in the organizational “political” context, in which a variety of interests backed by varying sources of power and influence are represented. The development, implementation, and monitoring of any strategies that are decided upon are then discussed, including the fact that such actions and events may not produce the intended results. Comments are also made on the need for data provided by monitoring to be evaluated and appropriate adaptations made. Finally, a brief section of the paper discusses reactive strategies.     

Bifocal/varifocal spectacles, lighting and missed-step accidents

Good lighting and the correct use of spectacles generally improve vision and presumably reduce the risk of accidents. However, bifocal and varifocal spectacles can increase the risk of misjudging distances when negotiating underfoot hazards. In some circumstances, the portion of the lens used for close work may inadvertently be used where accurate judgement of distance is necessary. This paper reports results from two studies of patient interviews using the Merseyside Accident Information Model; the first a study of accidents which occurred during paid employment (1504 cases) and the second of 1326 accidents mainly in domestic and leisure activities. Underfoot accidents were identified by the first unforeseen event perceived by the patient. The relationship between underfoot events and the type of spectacles worn by the patient at the time of accident was analysed. In both studies there was a significant association between accidents where the first event was ‘missed edge of’ (step) and wearing bifocal/varifocal spectacles. Corporal movements reported in both studies indicated that ‘stepping down’ when wearing bifocal/varifocal spectacles, increased the risk of ‘missed edge’ accidents. In the work environment corporal movements associated with manual handling of loads also increased the risk of ‘missed edge’ accidents when wearing bifocal/varifocal spectacles.     

Applications of life cycle assessment and cost analysis in health care waste management

The establishment of rules to manage Health Care Waste (HCW) is a challenge for the public sector. Regulatory agencies must ensure the safety of waste management alternatives for two very different profiles of generators: (1) hospitals, which concentrate the production of HCW and (2) small establishments, such as clinics, pharmacies and other sources, that generate dispersed quantities of HCW and are scattered throughout the city. To assist in developing sector regulations for the small generators, we evaluated three management scenarios using decision-making tools. They consisted of a disinfection technique (microwave, autoclave and lime) followed by landfilling, where transportation was also included. The microwave, autoclave and lime techniques were tested at the laboratory to establish the operating parameters to ensure their efficiency in disinfection. Using a life cycle assessment (LCA) and cost analysis, the decision-making tools aimed to determine the technique with the best environmental performance. This consisted of evaluating the eco-efficiency of each scenario. Based on the life cycle assessment, microwaving had the lowest environmental impact (12.64 Pt) followed by autoclaving (48.46 Pt). The cost analyses indicated values of US$ 0.12 kg^?1 for the waste treated with microwaves, US$ 1.10 kg^?1 for the waste treated by the autoclave and US$ 1.53 kg^?1 for the waste treated with lime. The microwave disinfection presented the best eco-efficiency performance among those studied and provided a feasible alternative to subsidize the formulation of the policy for small generators of HCW.